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弓部大動脈瘤術後の脳障害
https://doi.org/10.24517/00050824
https://doi.org/10.24517/00050824d11cde97-f453-4ac3-b52b-fe1b703a87a8
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
ME-PR-URAYAMA-H-951-955.pdf (720.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||
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| 公開日 | 2018-05-31 | |||||||||||||||
| タイトル | ||||||||||||||||
| タイトル | 弓部大動脈瘤術後の脳障害 | |||||||||||||||
| タイトル | ||||||||||||||||
| タイトル | Brain dysfunction after operation of aortic arch aneurysm | |||||||||||||||
| 言語 | en | |||||||||||||||
| 言語 | ||||||||||||||||
| 言語 | jpn | |||||||||||||||
| 資源タイプ | ||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||
| 資源タイプ | journal article | |||||||||||||||
| ID登録 | ||||||||||||||||
| ID登録 | 10.24517/00050824 | |||||||||||||||
| ID登録タイプ | JaLC | |||||||||||||||
| 著者 |
浦山, 博
× 浦山, 博× 片田, 正一× 竹村, 博文× 土田, 敬× 渡辺, 洋宇 |
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| 著者別表示 |
Urayama, Hiroshi
× Urayama, Hiroshi
× Katada, Sho-ichi
× Takemura, Hirofumi
× Tsuchida., K.
× Watanabe, Yoh
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| 提供者所属 | ||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||
| 内容記述 | 金沢大学医薬保健研究域医学系 | |||||||||||||||
| 書誌情報 |
胸部外科 = 日本心臓血管外科学会雑誌 en : The Japanese journal of thoracic surgery 巻 45, 号 11, p. 951-955, 発行日 1992-10 |
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| ISSN | ||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||
| 収録物識別子 | 0021-5252 | |||||||||||||||
| NCID | ||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||
| 収録物識別子 | AN00062650 | |||||||||||||||
| 出版者 | ||||||||||||||||
| 出版者 | 日本心臓血管外科学会 = The Japanese Society for Cardiovascular Surgery / 南江堂 | |||||||||||||||
| 抄録 | ||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||
| 内容記述 | Postoperative brain dysfunction was studied for 18 patients who survived more than 30 days after operations of aortic arch aneurysms. The operative procedures were graft replacement in 12 patients, resection with direct or patch closure in 3, and thromboexclusion in 3. Except for thromboexclusion, adjuncts were used: temporary bypass in 1, partial EPC (extracorporeal circulation) in 2, and selective cerebral perfusion during EPC in 12. As for intra-operative monitoring, the temporal artery blood pressures were more than 50 mmHg in all, but the electroencephalogram changed to flat wave just after clamping the aorta in one patient. Postoperative brain dysfunction occurred in 5 patients, including temporary loss of consciousness in 2, lasting loss of consciousness in 1, and paralysis with loss of consciousness in 2. Postoperative brain dysfunction occurred more often in old aged men with atherosclerotic aneurysms. Patients with temporary brain dysfunction had no remarkable change in CT scan, but patients with lasting brain dysfunction had low density areas. It is recommended to prevent this complication as follows: 1) pre-operative evaluation of cerebral vascular disorders, 2) gentle maneuver of atherosclerotic lesions, 3) bilateral cerebral perfusions and intra-operative monitorings, 4) intensive perioperative care of circulation and respiration. | |||||||||||||||
| 内容記述 | ||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||
| 内容記述 | 11 | |||||||||||||||
| 権利 | ||||||||||||||||
| 権利情報 | Copyright © 日本心臓血管外科学会 The Japanese Society for Cardiovascular Surgery | |||||||||||||||
| 著者版フラグ | ||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||
| 関連URI | ||||||||||||||||
| 識別子タイプ | URI | |||||||||||||||
| 関連識別子 | http://jscvs.umin.ac.jp/ | |||||||||||||||
| 関連名称 | http://jscvs.umin.ac.jp/ | |||||||||||||||
